Responsibilities

ESSENTIAL FUNCTIONS

Investigate and negotiate payment for first and third party claims involving any and all coverage’s, liability, and legal issues. Identify viable payers, obtain IBs, UB92s, 1500s, correspondence, and Medical Records when necessary; while maintaining the highest level of privacy in accordance with HIPAA requirements and laws.

Responsible for working inventory by route while maintaining an acceptable level of aged accounts receivable.

Must contact patients, payers, hospitals, attorneys, employers, and any other parties involved to collect the necessary information to insure reimbursement for our client.

Recover maximum dollars for the hospital through coordination of benefits in a timely manner.

Must meet monthly company goals, team goals, and individual goals as well as all deadlines set by the Director and Supervisor.

Complete special projects and other duties when requested by management.

Qualifications

EXPERIENCE REQUIREMENTS

Strong technical knowledge in one or more areas of Workmen’s Compensation, Motor Vehicle Liability, General Liability and claims processing systems.